Health Care Delivery Systems Chapter 1 Health Care Delivery Systems

History of Medicine History of medicine Prehistoric medicine Ancient medicine Medieval medicine Renaissance medicine

History of Medicine and Evolution of Health Care Delivery in the U.S. Modern medicine Early hospitals Early quality of care initiatives Federal initiatives

Continuum of Care Primary care Secondary care Tertiary care Quaternary care

Health Care Facility Ownership Government (not-for-profit) Proprietary (for-profit) Voluntary (not-for-profit)

Health Care Facility Organizational Structure Governing board Administration Medical staff Hospital departments, services, and committees Successful meetings

Health Information Department Cancer registry Coding and abstracting Image processing Incomplete record processing Medical transcription Record circulation Release of information processing

Licensure, Regulation, and Accreditation Code of Federal Regulations (CFR) Federal Register Accreditation standards and surveys

Accrediting Organizations Accreditation Association for Ambulatory Health Care (AAAHC) American Osteopathic Association (AOA) Commission on Accreditation of Rehabilitation Facilities (CARF) Community Health Accreditation Program (CHAP)

Accrediting Organizations (Continued) Joint Commission - formerly known as Joint Commission on Accreditation of Health Care Organizations National Committee for Quality Assurance (NCQA) National Commission on Correctional Health Care (NCCHC)

Joint Commission Deemed Status ORYX Initiative Shared Visions - New Pathways Periodic Performance Review National Patient Safety Goals

Recent Legislation Deficit Reduction Act of 2005 Patient Safety and Quality Improvement Act of 2005 Tax Relief and Health Care Act of 2006 Genetic Information Nondiscrimination Act American Recovery and Reinvestment Act HITECH Act

Review of Relevant Key Terms Continuum of care Licensure Regulation Accreditation Standards